Jessica Marie Lafontaine

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

630 S Wickham Rd Ste 107
West Melbourne, FL 32904-1429

Phone

(321) 608-0604

NPI assigned

Feb 18, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jessica Mikulas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alyssa Buchanan, LLC

  • Clinical Social Worker
  • West Melbourne, FL
  • NPI 1487194817
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1962035907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S WICKHAM RD STE 107",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329041429",
            "telephone_number": "321-608-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S WICKHAM RD STE 107",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329041429",
            "telephone_number": "321-608-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFONTAINE",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MIKULAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Lynn Kraemer, LMT
• Rajasri P Krishnamurthy, M.D.
• Sydney Kroeckcaddy, MS
• Aravind K Kumar, MD
• Joseph E Kundrot
• Melanie Ann Lambert, LPTA
• Mary F Larson, LCSW
• Bryanna Lawhorn
• Julie Le, RPH
• Ana Paula Leao de Camargo, PSYD

• Clinical Social Worker in West Melbourne, FL
• Providers in West Melbourne, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.